Lets just be honest. Most people will never see anything more than 20% reduction in symptoms of PsA with current medication (That includes biologics). The only thing to switch to would be a biologic, but the current evidence suggests they are very slow working for hands and feet. My suggestion would be to remain on FD, and if you can try some NSAIDs and see if that helps.
Are there tests for psoriatic arthritis?
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